Provider Demographics
NPI:1558003574
Name:TRIPP, VICTORIA (LICSW, LCSW, OSW-C)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:TRIPP
Suffix:
Gender:F
Credentials:LICSW, LCSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MARSHALL PL
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2937
Mailing Address - Country:US
Mailing Address - Phone:914-960-5522
Mailing Address - Fax:
Practice Address - Street 1:15 MARSHALL PL
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2937
Practice Address - Country:US
Practice Address - Phone:914-960-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC2000016191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical